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Nelson County Health System Care Center

108 E Nyhus Ave, Mcville, ND 58254
7013224314
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Overall CMS Rating

3.0/5

vs State Average: 3.2 stars

2.0/5

Health Inspections

vs State Average: 2.9/5

5.0/5

Staffing Level

vs State Average: 4.1/5

2.0/5

Quality Measures

vs State Average: 2.8/5

1 penalties in last 3 years
Penalties
vs State Average: 1 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jun 23, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D
Apr 1, 2025 Provide and implement an infection prevention and control program. D
Nov 26, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G
Nov 26, 2024 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D
Mar 21, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Score
5.0
State Average
4.1
National Average
2.9
0.8 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
0.0% RN Turnover Rate
Score
2.0
State Average
2.8
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
29.1 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST NELSON COUNTY HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL FORDE, STEVEN
CORPORATE DIRECTOR BERG, IVAN
CORPORATE DIRECTOR JENSEN, BRANDON
CORPORATE DIRECTOR LUNDEBY, BRANDON
CORPORATE DIRECTOR OXTON, RANAE
CORPORATE DIRECTOR STEIN, HEATHER
CORPORATE DIRECTOR TWETE, ANGELA
CORPORATE DIRECTOR TWETE, JUDITH
W-2 MANAGING EMPLOYEE SWENSON, CATHERINE
Recent Penalties
Date Type Fine
Nov 26, 2024 Fine $36,855

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